Out of the Blue

I had the final visit with my current rheumatologist today. If you haven't been keeping up, let me recap: I started seeing this particular doctor in January. I have been unhappy with his level of involvement from almost the first visit. I decided to change doctors when my current rheumatologist took over a month to give me results of an important blood test despite my having called and left several messages. Then when I saw him again, he wanted to make important decisions about my treatment based on results that were six weeks old from a blood test that had been done only a month into the treatment plan. In March, I made an appointment with a different doctor, but because the waiting lists for specialists in this area is so long, the first appointment I could get was at the end of July. About a month ago, I injured my right knee while walking. I heard a pop and then there was bruising and swelling. It was somewhat better in a few days, but every time I am more active - for active...

In my last post, I talked about alternative treatments for RA. For the last week I have experimented with diet as a way to help control my inflammation. I was feeling pretty good by Friday, and on Saturday, I decided to eat "normally" in order to see if the change was real or only a placebo effect. Yesterday's menu included eggs and grits for breakfast, a sandwich for lunch, and spaghetti bolognese for dinner. I had oatmeal-chocolate chip cookies for dessert. I didn't eat too much of anything, but by this morning I had gained four pounds of fluid and I felt awful. My voice was rough, my sinuses inflamed, and my body ached, especially my left shoulder, both hips, and my right knee. I got up around seven this morning and I felt so bad that I thought about just sitting on the couch under a blanket and abandoning my original plan of heading out for an early morning hike. After some thought, I decided to go ahead and hike. Yes, I felt bad, but I would probably feel jus...

It has been exactly three weeks now since I've had a call returned from my Rheumatologist or his practice staff. At this point I can't even get test results from these people. These results were promised to be ready on March 7th. I could fully describe my frustration, but I've always believed that profanity is the lowest form of communication, so I'll pass. Suffice it to say I am thoroughly disgusted. So - moving on. I've made a new appointment with a different provider who comes highly recommended. Her practice is about twenty miles away but it will be worth the drive if she will just listen and work with me to devise a treatment plan. In the meantime, I will continue to take Plaquenil and manage my pain as best I can. It is certain that my current doctor isn't interested in helping to treat it. Friday morning, I woke up with the "knuckles" of my big toes on each foot swollen and throbbing. My feet and ankles were puffy and creaky. My knees and ...

It is 2:40 am as I begin this post, on the first morning after I began taking Plaquenil for my RA. I had the final blood test and the pre-Plaquenil eye-exam last week. The prescription was called in on Thursday and I picked it up late Thursday night. I decided to hold off on taking the first dose until after work on Friday because I didn't want to be sick on the job. Boy, am I glad I held off. About thirty minutes after I took the first dose, which is 300 mg daily, I started to feel a bit itchy. Then a lot itchy. All over. I monitored myself but no rash developed and I didn't have any difficulty breathing or swelling. After another thirty minutes the itching went away. Then the queasiness started. By then it was late, and I was tired, so I decided to go to bed. I went to sleep pretty quickly. And then I woke up. Stomach cramps. Nausea. Just a general icky feeling all over. I stayed in bed for a while and then gave up and got up. Worked on my taxes. Drank some water. Tried n...

Yesterday, I received a call from the rheumatologist's office asking if I could come in for an early appointment the next day. The test results were back, and they had a cancellation, so the timing was right. I said I could, and asked if they could tell me about my lab results. The woman on the phone declined to discuss it because she was a member of the office staff. So I settled in to wait. Knowing that I would soon find out about my condition and prognosis made me very antsy, very unsettled. I didn't sleep well, but I woke up feeling just about par. Time and a hot shower took care of most of the stiffness and by 8 am, I was on my way across town to see my doctor. He went over the x-ray results first, assuring me that there was no discernible damage in the joints of my hands. He said there was damage to other joints - knees, hips, elbows, and shoulders, and that it was made evident by the grinding, crunching noise these joints make whenever I use them. He said my lab work w...